Organization
WILLOW PATH ABA & LEARNING LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MEDINA M.A, BCBA/LBA (OWNER/ BEHAVIOR ANALYST)
(689) 326-7019
Entity
Organization
Contact information
Practice address
626 N ALAFAYA TRL STE 206, PMB1014, ORLANDO, FL 32828-4353
(689) 326-7019
Mailing address
626 N ALAFAYA TRL STE 206, PMB1014, ORLANDO, FL 32828-4353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
10/06/2025
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